Individual
AMBER MANN KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., M.P.H.
Contact information
Practice address
500 S MEADOW ST, ITHACA, NY 14850-5317
(607) 277-1772
Mailing address
500 S MEADOW ST, ITHACA, NY 14850-5317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061093
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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